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Effects of Backward Walking Training with a Weighted Bag Carried on the Front on Craniocervical Alignment and Gait Parameters in Young Adults with Forward Head Posture: A case series

  • Byoung-Ha Hwang;Han-Kyu Park
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.3
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    • pp.83-91
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    • 2024
  • Purpose : This case study aimed to investigate the effects of backward walking exercises with a front-loaded bag on craniovertebral angle (CVA), craniorotational angle (CRA), and gait variables in subjects with forward head posture (FHP). Methods : Two individuals in their twenties with FHP performed backward walking exercises on a treadmill while carrying a front-loaded bag with a load equivalent to 20 % of their body weight, for 30 minutes per day, three times a week, over two weeks. CVA and CRA were measured before and after the intervention using side view photographs taken from 1.5 meters away. CVA was calculated by marking C7, the tragus of the ear, and the outer canthus of the eye, and CRA was determined using the same landmarks. Image J software was used for angle analysis, with measurements taken three times and averaged. Gait variables such as step length and cadence were recorded using a step analysis treadmill and analyzed with the software included with the equipment, with measurements taken at baseline and after the two-week intervention. Results : Both participants demonstrated notable improvements in the CVA, indicating enhanced head alignment relative to the cervical spine. There was also a marked decrease in the CRA, suggesting a reduction in rotational misalignment. Although differences were observed in gait variables, such as step length and cadence, these changes were not consistent across measurements. The results suggest that backward walking exercises with a load carried in front can positively influence postural adjustments by aligning the cervical spine in individuals with FHP. Conclusion : The findings of this case study indicate that backward walking exercises with a front-loaded bag can effectively improve cervical spine alignment in individuals with FHP. Differences were observed in gait variables, such as step length and cadence, but these changes were not consistent across measurements. Future studies should explore these effects more comprehensively and consider optimizing the exercise protocol for better therapeutic outcomes.

Comparisons of Lingual Function and Alveolar Sounds in 4-Year-Old Korean Children with and without Ankyloglossia (4세 설소대 단축증 아동과 정상 아동의 혀의 최대 신장 길이 및 혀의 운동성에 따른 치조음 발음 양상의 비교)

  • Choi, Jae-Nam;Kim, Young-Ho;Sim, Hyun-Sub;Shoi, Hong-Shik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.15 no.2
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    • pp.145-152
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    • 2004
  • Background and Objectives : The current study aimed to 1) compare of Lingual function and alveolar sounds between 4-year-old Korean children with and without ankyloglossia, 2) investigate the correlation between ① maximum lingual length-protrusion(MLL-P) and percentage of consonants corrects(PCC) focused on alveolar sounds, ② lingual movement and PCC focused on alveolar sounds, ③ MLL-P and lingual movement. Materials and Method : Twenty-two 4-year-old children participated as subjects in the study: a control group of 11 normal children and an experimental group of 11 children who were previously diagnosed as having ankyloglossia. They were measured for lingual function (lingual length, lingual movement) and the performances of speech articulation. Results : Children with ankyloglossia displayed significantly shorter MLL-P than 4 year normal children. Experimental group displayed significantly worse lingual movement, lower PCC in Picture consonants test, and lower PCC of alveolar sounds than control group. Ther was significantly high correlation between MLL-P and lingual movement of experimental group. Conclusion : This paper describes clinical measure and functional aspects of the tongue. Such baseline analysis provides a more definitive appraisal of lingual function as well as a more objective basis for diagnosis and treatment of ankyloglossia.

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Lymphangiographic Interventions to Manage Postoperative Chylothorax

  • Jeong, Hyuncheol;Ahn, Hyo Yeong;Kwon, Hoon;Kim, Yeong Dae;Cho, Jeong Su;Eom, Jungseop
    • Journal of Chest Surgery
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    • v.52 no.6
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    • pp.409-415
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    • 2019
  • Background: Postoperative chylothorax may be caused by iatrogenic injury of the collateral lymphatic ducts after thoracic surgery. Although traditional treatment could be considered in most cases, resolution may be slow. Radiological interventions have recently been developed to manage postoperative chylothorax. This study aimed to compare radiological interventions and conservative management in patients with postoperative chylothorax. Methods: We retrospectively reviewed periprocedural drainage time, length of hospital stay, and nil per os (NPO) duration in 7 patients who received radiological interventions (intervention group [IG]) and in 9 patients who received conservative management (non-intervention group [NG]). Results: The baseline characteristics of the patients in the IG and NG were comparable; however, the median drainage time and median length of hospital stay after detection of chylothorax were significantly shorter in the IG than in the NG (6 vs. 10 days, p=0.036 and 10 vs. 20 days, p=0.025, respectively). NPO duration after chylothorax detection and total drainage duration were somewhat shorter in the IG than in the NG (5 vs. 7 days and 8 vs. 14 days, respectively). Conclusion: This study showed that radiological interventions reduced the duration of drainage and the length of hospital stay, allowing an earlier return to normal life. To overcome several limitations of this study, a prospective, randomized controlled trial with a larger number of patients is recommended.

MULTI-PHYSICAL SIMULATION FOR THE DESIGN OF AN ELECTRIC RESISTOJET GAS THRUSTER IN THE NEXTSAT-1 (차세대 인공위성 전기저항제트 가스추력기의 다물리 수치모사)

  • Chang, S.M.;Choi, J.C.;Han, C.Y.;Shin, G.H.
    • Journal of computational fluids engineering
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    • v.21 no.2
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    • pp.112-119
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    • 2016
  • NEXTSat-1 is the next-generation small-size artificial satellite system planed by the Satellite Technology Research Center(SatTReC) in Korea Advanced Institute of Science and Technology(KAIST). For the control of attitude and transition of the orbit, the system has adopted a RHM(Resisto-jet Head Module), which has a very simple geometry with a reasonable efficiency. An axisymmetric model is devised with two coil-resistance heaters using xenon(Xe) gas, and the minimum required specific impulse is 60 seconds under the thrust more than 30 milli-Newton. To design the module, seven basic parameters should be decided: the nozzle shape, the power distribution of heater, the pressure drop of filter, the diameter of nozzle throat, the slant length and the angle of nozzle, and the size of reservoir, etc. After quasi one-dimensional analysis, a theoretical value of specific impulse is calculated, and the optima of parameters are found out from the baseline with a series of multi-physical numerical simulations based on the compressible Navier-Stokes equations for gas and the heat conduction energy equation for solid. A commercial code, COMSOL Multiphysics is used for the computation with a FEM (finite element method) based numerical scheme. The final values of design parameters indicate 5.8% better performance than those of baseline design after the verification with all the tuned parameters. The present method should be effective to reduce the time cost of trial and error in the development of RHM, the thruster of NEXTSat-1.

Alternative Design of 3MW Offshore PM Synchronous Generator (해상용 3 MW 영구자석형 동기발전기의 대안설계)

  • Kim, Dong-Eon;Lee, Hong-Gi;Han, Hong-Sik;Jung, Yung-Gyu;Suh, Hyung-Suck;Chung, Chin-Wha;Lim, Min-Soo;Kwak, Seung-Keun;Oh, Man-Soo;Choi, June-Hyuk
    • 한국신재생에너지학회:학술대회논문집
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    • 2008.05a
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    • pp.274-277
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    • 2008
  • Pohang Wind Energy Research Center (PoWER-C) is developing a 3 MW Radial Flux Permanent Magnet (RFPM) Synchronous Generator for offshore Wind Energy Converter (WEC). The blade rotor rpm is 15.7 and the gear ratio is set to be 92.93. The nominal generator rpm at the rated load is about 1459. Baseline design with surface mounted PM magnets are completed. However, there is some concern about the excessive eddy current heating in the magnets. To alleviate this problem, another design with embedded magnet is going on. With embedded magnets, the generator length should be increased to compensate the increased flux leakage. But the field fluctuation in the magnets due to the slots are greatly reduced. This means less eddy currents and lower magnet operating temperature. In this report, engineering efforts for embedded rotor is presented.

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Korean Red Ginseng increases defective pol gene in peripheral blood mononuclear cells of HIV-1-infected patients; inhibition of its detection during ginseng-based combination therapy

  • Cho, Young Keol;Kim, Jung-Eun;Woo, Jun-Hee
    • Journal of Ginseng Research
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    • v.43 no.4
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    • pp.684-691
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    • 2019
  • Background: We have reported that defective nef and gag genes are induced in HIV-1-infected patients treated with Korean Red Ginseng (KRG). Methods: To investigate whether KRG treatment and highly active antiretroviral therapy (HAART) affect genetic defects in the pol gene, we amplified and sequenced a partial pol gene (p-pol) containing the integrase portion (1.2 kb) by nested PCR with sequential peripheral blood mononuclear cells over 20 years and compared it with those patients at baseline, in control patients, those taking ginseng-based combination therapy (GCT; KRG plus combinational antiretroviral therapy) and HAART alone. We also compared our findings to look for the full-length pol gene (pol) (3.0-kb) Results: Twenty-patients infected with subtype B were treated with KRG for $116{\pm}58months$ in the absence of HAART. Internal deletion in the pol gene (${\Delta}pol$) was significantly higher in the KRG group (11.9%) than in the control group and at baseline; its detection was significantly inhibited during GCT as much as during HAART. In addition, the ${\Delta}pol$ in p-pol significantly depended on the duration of KRG treatment. In pol, the proportion of ${\Delta}pol$ was significantly higher in the KRG group (38.7%) than in the control group, and it was significantly inhibited during GCT and HAART. In contrast, the proportion of stop codon appeared not to be affected by KRG treatment. The PCR success rate was significantly decreased with longer GCT. Conclusion: The proportion of ${\Delta}pol$ depends on template size as well as KRG treatment. HAART decreases the detection of ${\Delta}pol$.

Feasibility, safety and effectiveness of the enhanced recovery after surgery protocol in patients undergoing liver resection

  • Mohamad Younis Bhat;Sadaf Ali;Sonam Gupta;Younis Ahmad;Mohd Riyaz Lattoo;Mohammad Juned Ansari;Ajay Patel;Mohd Fazl ul Haq;Shaheena Parveen
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.28 no.3
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    • pp.344-349
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    • 2024
  • Backgrounds/Aims: The implementation of enhanced recovery after surgery (ERAS) protocols has demonstrated significant advantages for patients by mitigating surgical stress and expediting recovery across a spectrum of surgical procedures worldwide. This investigation seeks to assess the effectiveness of the ERAS protocol specifically in the context of major liver resections within our geographical region. Methods: Our department conducted retrospective analysis of prospectively collected data, gathered from consenting individuals who underwent liver resections from January 2018 to December 2023. The assessment encompassed baseline characteristics, preoperative indications, surgical outcomes, and postoperative complications among patients undergoing liver surgery. Results: Among the included 184 patients (73 standard care, 111 ERAS program), the baseline characteristics were similar. Median postoperative hospital stay differed significantly: 5 days (range: 3-13 days) in ERAS, and 11 days (range: 6-22 days) in standard care (p < 0.001). Prophylactic abdominal drainage was less in ERAS (54.9%) than in standard care (86.3%, p < 0.001). Notably, in ERAS, 88.2% initiated enteral feeding orally on postoperative day 1, significantly higher than in standard care (47.9%, p < 0.001). Early postoperative mobilization was more common in ERAS (84.6%) than in standard care (36.9%, p < 0.001). Overall complication rates were 21.9% in standard care, and 8.1% in ERAS (p = 0.004). Conclusions: Our investigation highlights the merits of ERAS protocol; adherence to its diverse components results in significant reduction in hospital length of stay, and reduced occurrence of postoperative complications, improving short-term recovery post liver resection.

Design Optimization of QTP-UAV Prop-Rotor Blade Using ModelCenter (ModelCenter를 이용한 QTP-UAV 프롭로터 블레이드 형상 최적설계)

  • Kang, Hee Jung
    • Journal of Aerospace System Engineering
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    • v.11 no.4
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    • pp.36-43
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    • 2017
  • Blade design optimization of QTP-UAV prop-rotor was conducted using ModelCenter(R). Performance efficiency of the blade in hover and forward flight were adopted as the multi-objective function. Required power and pitch link force applied to constraint in each flight mode and limited lower than the value of the baseline blade. Design variables of root chord length of the blade, taper ratio, twist slope, twist angle at 0.5R of the blade, anhedral angle, parabolic coefficient of a tip shape and location of airfoil were used to generate the blade planform. CAMRAD-II, the comprehensive analysis program of rotorcraft, was used for performance analysis of prop-rotor blade in design process. Performance of the optimized blade improved 1.6% of figure of merit in hover and 13.6% of propulsive efficiency in forward flight. Pitch link force also reduced approximately 30% less than that of the baseline blade.

Performance evaluation of Terrestrial Laser Scanner over Calibration Baseline (표준거리측정 시설을 이용한 지상라이다 성능 평가)

  • Lee, In-Su;Lee, Jae-One
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.28 no.3
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    • pp.329-336
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    • 2010
  • This study deals with the measurement of reflectivity as well as the distance accuracy with Terrestrial Laser Scanner(TLS) using time of flight methods and near infrared wave length, for a variety of user-made targets. Especially, point clouds' reflection to several targets was measured with Gretag Macbeth il spectrophotometer in the office. And the distance accuracy in comparison to reference distance for TLS performance evaluation, was tested after scanning the user-made targets and measuring the inter-pillars distances over the precise EDM calibration baseline. The results of test was shown that except white resin objects, with approx. 10m and 170m inter-pillar distances, other targets achieved the distance accuracy of several millimeters(mm) with respect to standard distances. Future work should be concentrate on a few parameters influencing on the distance accuracy such as atmospheric correction, instrument correction, the additive constant or zero/index correction, etc.

Calculation of Geometric Geoidal Height by GPS Surveying on 1st and 2nd order Benchmark Line (1, 2등 수준노선에서 GPS 측량에 의한 기하학적 지오이드고의 계산)

  • Lee, Suk-Bae;Kim, Jin-Soo;Kim, Cheol-Young;Kwon, Jay-Hyoun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.27 no.2
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    • pp.213-223
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    • 2009
  • In geoid modelling field, it is very important the GPS/leveling data because it could be check-out the accuracy of gravimetric geoid and computed the hybrid geoid. In this study, GPS surveying was accomplished in the test area including mountainous area to improve the GPS/leveling data density in Korea. And the geometric geoidal heights was calculated using the GPS/leveling data in the test area and the accuracy of the geoidal heights was analyzed. For this study, GPS surveying was accomplished on the 211 1st and 2nd order benchmarks in Gyeongbuk province and 198 GPS/leveling data were achieved after both baseline analysis and network adjustment. Geometric geoidal heights were calculated using these 198 GPS/leveling data and the accuracy analysis was done by comparison with the geoidal heights from EGM2008 geopotential model. The results showed that the bias and standard deviation computed from 190 GPS/leveling data after gross removal was -0.185$\pm$0.079m. And also, the accuracy analyses according to the benchmark order, baseline length, and altitude were accomplished.